Medicine and Surgery "B" - Roma Azienda Policlinico Umberto I

Activity type

Medicina e sanità pubblica e degli ambienti di lavoro e scienze medico legali, Tirocini formativi e di orientamento

SSD

MED/42, MED/42

Year

5th year

Semester

2nd semester

CFU

3

Hours distribution

12 classroom hours, 50 others hours

Lecturers

MARIA DE GIUSTI

Activity type

Medicina e sanità pubblica e degli ambienti di lavoro e scienze medico legali

SSD

MED/44

Year

5th year

Semester

2nd semester

CFU

2

Hours distribution

24 classroom hours

Lecturers

GIUSEPPE LA TORRE

Activity type

Scienze umane, politiche della salute e management sanirario

SSD

SECS-P/07

Year

6th year

Semester

1st semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

NOEMI ROSSI

Activity type

Formazione clinica interdisciplinare e medicina basata sulle evidenze

SSD

MED/44

Year

6th year

Semester

1st semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

GIUSEPPE LA TORRE

Activity type

Medicina e sanità pubblica e degli ambienti di lavoro e scienze medico legali

SSD

MED/42

Year

6th year

Semester

1st semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

PAOLO VILLARI

Module: IX GENERAL AND APPLIED HYGIENE
N/D
Module: IX OCCUPATIONAL MEDICINE
N/D
Module: X ECONOMY AND MANAGEMENT OF HEALTH COMPANIES
N/D
Module: X OCCUPATIONAL MEDICINE


N/D
Module: X GENERAL AND APPLIED HYGIENE
N/D

To take the Public Health X exam, the student must have passed the ongoing exam of Medical Scientific Methods - Public Health IX. A basic knowledge of medical statistics and epidemiological methods is required.

Module: IX GENERAL AND APPLIED HYGIENE
Epidemiological Methodology
Epidemiology, clinical medicine, and public health. Approach and evolution of epidemiology. Etiological and evaluative epidemiology. Epidemics in ancient times and the modern era. Methods for studying and containing epidemic outbreaks. Measures of disease frequency. Concept of risk. Measures of effect. Impact measures. Causality in epidemiology. Random and systematic errors. Confounding and interaction. Classification of epidemiological studies. Characteristics, conduct, analytical methods, and critical evaluation of main analytical and descriptive studies. Evaluation of diagnostic tests.

Epidemiology and Prevention of Infectious Diseases
Health protection and promotion. Determinants of health and disease. Evidence-based prevention and levels of prevention. Prevention professionals, structures of the National Health Service (SSN), and operational tools. Host-parasite relationships, sources and reservoirs of infection, routes of pathogen entry and release, modes of transmission. Notification, quarantine measures, diagnostic confirmation. Sterilization, disinfection, pest control. Vaccinoprophylaxis, types of vaccines, vaccination schedules for newborns and adults (worker categories, international travelers). Passive immunoprophylaxis, chemoprophylaxis. Epidemiology and prevention of airborne, parenteral, sexual, fecal-oral, vertical transmission, vector-borne diseases, and zoonoses. Epidemiology and prevention of Healthcare-Associated Infections (HAIs), with notes on hospital hygiene.

Epidemiology and Prevention of Chronic Degenerative Diseases and Addictions
Prevention methodologies for chronic degenerative diseases (atherosclerosis and ischemic coronary heart disease, malignant tumors, most common degenerative and metabolic diseases, alcoholism, major and minor drug addictions, and smoking) and screening tests. Screening campaigns. Systematic reviews and meta-analyses.

Environment and Health
Risk factors related to environmental pollution. Air and atmospheric pollution: origin, types, epidemiological significance, prevention methods. Health and ecological effects caused by pollution, health risk assessment, environmental and biological monitoring of pollutant exposure. Confined environments: microclimate, indoor pollution, noise, and vibrations. Water: needs, supply, pollution possibilities, potability criteria, correction of adverse characteristics. Wastewater and solid waste: removal and disposal. Main relevant regulations.

Food Hygiene
Food as a vehicle for physical, chemical, biological, and microbiological hazards: risk of foodborne diseases. Ecological parameters for microorganism survival and growth, preservation methods, microbiological and physicochemical food control methods: adulterations, sophistication, counterfeiting, food additives. Main relevant regulations.

Health Education
One-way and two-way communication of health-related informational and educational messages. Health education as a tool for health promotion. Methodologies for planning and implementing health education interventions. Health education interventions in the general population, communities, healthcare facilities, schools, and workplaces.


Module: IX OCCUPATIONAL MEDICINE
Community Medicine
Identification of the relationships between need, demand, and supply.
Health and social care interventions for chronic-degenerative diseases, disabilities, and terminal illnesses.
Identification of the demand and supply of services for the comprehensive protection of the health of families and communities.
Development of unified and integrated care plans.
Activation of the participation of individuals, families, and communities in health protection.
Evaluation of the effectiveness of interventions in primary care: application of evidence-based medicine (EBM) guidelines.
Evaluation of the outcomes and results of healthcare assistance.
Identification of methodologies for hospital-community integration and for the rational use of the network of district services.
Contribution of general practitioners and freely chosen pediatricians to prevention activities in the community.

Occupational Medicine
General concepts of Occupational Medicine: evolution, purposes, general principles, and objectives of Occupational Medicine.
Workplace Health Promotion (WHP): bringing health promotion into the workplace.
Principles of industrial toxicology and occupational hygiene.
The approach to workers in health surveillance: occupational history.
Relationship between work and health: accidents, occupational and work-related diseases.
Relevant Italian and European regulations regarding workers' health and safety.
Main diseases related to occupational exposure to physical, chemical, biological, and transversal agents.
Risks and diseases typical of healthcare professions.
Occupational carcinogenesis.
Stress and burnout in the workplace.
Women and occupational health.

Current Issues
Risk factors, epidemiology, and prevention of domestic, road, and workplace accidents.
Public health aspects in natural disasters, industrial accidents, and bioterrorism.


Module: X ECONOMY AND MANAGEMENT OF HEALTH COMPANIES
N/D
Module: X OCCUPATIONAL MEDICINE


Total Worker Health and Workplace Health Promotion
Assaults on Healthcare Personnel: Epidemiology and Prevention
Disability Management and Return to Work


Module: X GENERAL AND APPLIED HYGIENE
Prof. Paolo Villari - (PO) MED/42- Modulo: MED/42
Learning outcomes:
By the end of the course, the student must:
• know the basic types of healthcare systems in the world, with their main strengths and weaknesses; the methods used to evaluate the efficacy, the effectiveness and the efficiency of healthcare interventions;
• be able to read critically and use published epidemiological studies, systematic reviews and meta-analysis, as well as economic evaluations of healthcare interventions;
• develop a professional attitude to adopt professional behaviors in accordance with the principles of equity, effectiveness and efficiency and objectives to the national, regional and local healthcare planning; develop a critical thinking in terms of global health, taking into account that many health problems spill over national boundaries.
Contents:
Healthcare systems in the world. Comparative evaluation of the main healthcare system types and analysis of their strengths and weaknesses. Evidence-based medicine. Methods to evaluate efficacy, safety and effectiveness of healthcare interventions (RCTs, systematic reviews and meta-analysis). The methodological steps in conducting systematic reviews and meta-analysis. Models of economic evaluations of health care programs and interventions (cost-minimization analysis, cost-effectiveness analysis, cost-utility analysis, cost-benefits analysis); purposes, main characteristics, advantages, limitations and practical applications.

Module: IX GENERAL AND APPLIED HYGIENE
Ricciardi W., La Torre G. et al., Igiene, Medicina Preventiva, Sanità Pubblica. Ed. Idelson Gnocchi, Napoli 2012
Manzoli L., Villari P., Boccia A.. Epidemiologia e Management in Sanita’, EDI ERMES, Milano 2008
F. Auxilia e M. Pontello. Igiene e Sanità Pubblica- I Fondamenti della Prevenzione. PICCIN ED. Padova, 2011
Testo di Consultazione: Melino et al. Lineamenti di igiene del lavoro. Società Editrice Universo, Roma 2004



Module: IX OCCUPATIONAL MEDICINE
Ricciardi W., La Torre G. et al., Igiene, Medicina Preventiva, Sanità Pubblica. Ed. Idelson Gnocchi, Napoli 2012
Manzoli L., Villari P., Boccia A.. Epidemiologia e Management in Sanita’, EDI ERMES, Milano 2008
F. Auxilia e M. Pontello. Igiene e Sanità Pubblica- I Fondamenti della Prevenzione. PICCIN ED. Padova, 2011
Testo di Consultazione: Melino et al. Lineamenti di igiene del lavoro. Società Editrice Universo, Roma 2004



Module: X ECONOMY AND MANAGEMENT OF HEALTH COMPANIES
N/D
Module: X OCCUPATIONAL MEDICINE


La Torre, De Sio Principi di management sanitario e medicina del lavoro, SEU Roma 2023



Module: X GENERAL AND APPLIED HYGIENE
Suggested textbooks:
- Manzoli, Villari, Boccia. Epidemiologia e Management in Sanità. Edi-Ermes, Milano, 2015. Acquistabile anche in formato digitale:
http://www.ediermes.it/index.php/libri/1171-epidemiologia-e-management-in-sanita-edizione-digitale.html?keyword=epidemiologia+e+man
- Carlo Bottari, Profili innovativi del sistema sanitario nazionale, Giappichelli, 2018.

Module: IX GENERAL AND APPLIED HYGIENE
N/D
Module: IX OCCUPATIONAL MEDICINE
N/D
Module: X ECONOMY AND MANAGEMENT OF HEALTH COMPANIES
N/D
Module: X OCCUPATIONAL MEDICINE


N/D
Module: X GENERAL AND APPLIED HYGIENE
N/D

Module: IX GENERAL AND APPLIED HYGIENE
N/D
Module: IX OCCUPATIONAL MEDICINE
N/D
Module: X ECONOMY AND MANAGEMENT OF HEALTH COMPANIES
N/D
Module: X OCCUPATIONAL MEDICINE


N/D
Module: X GENERAL AND APPLIED HYGIENE
Teaching methods:
Lectures and training sessions.

Mandatory attendance as per Degree Course requirement.

The assessment of learning for the entire course will be based on the results of a written exam consisting of a total of 31 multiple-choice questions, distributed as follows:
• 10 questions related to the Health Economics module (1 point per question)
• 10 questions related to the Occupational Medicine module (1 point per question)
• 11 questions related to the Hygiene module (1 point per question)

Module: IX GENERAL AND APPLIED HYGIENE
N/D
Module: IX OCCUPATIONAL MEDICINE
N/D
Module: X ECONOMY AND MANAGEMENT OF HEALTH COMPANIES
N/D
Module: X OCCUPATIONAL MEDICINE


N/D
Module: X GENERAL AND APPLIED HYGIENE
N/D

Module: IX GENERAL AND APPLIED HYGIENE
N/D
Module: IX OCCUPATIONAL MEDICINE
N/D
Module: X ECONOMY AND MANAGEMENT OF HEALTH COMPANIES
N/D
Module: X OCCUPATIONAL MEDICINE


N/D
Module: X GENERAL AND APPLIED HYGIENE
N/D